More Than Healthcare: The NHS and Society (original) (raw)

2019, Masters Dissertation

The enduring support and attachment the public has for the NHS has been likened to a religion. The institution attracts more support than any other, is claimed to be the most important factor in generating pride in Britain and is strongly associated with national values and identity. This dissertation explores how the NHS has shaped society beyond the delivery of healthcare. A philosophic assessment of the role of public institutions in transmitting values to society is followed by an interrogation of the deeper meaning the NHS has for the population. A theme of community emerges, demonstrating how the NHS and society are closely aligned in the collective public mind, allied to a nostalgic longing for social cohesion. Theoretical and empirical analysis demonstrate how the NHS, through its universal nature, positively influences societal attitudes and, by encouraging trust in citizens, has made a contribution towards social cohesion.

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The British National Health Service: A Tarnished MoralVision

Health Care Analysis, 1999

Last year (1998) saw the celebration of the 50th Anniversaryof the British National Health Service (NHS). One ofthe few completely nationalised systems of health carein the world, the NHS is seen by many as a moralbeacon of what it means to provide equitable medicaltreatment to all citizens on the basis of need andneed alone. However, others argue that it has failedto achieve the overall goals for which it was created.Because of scarce resources, some urgently needed careis not available at all, while that which is receivedis sometimes second class. For these reasons, it isclaimed that the NHS should be scrapped and replacedby other systems of health care delivery.This paper outlines the history of the NHS,indicating some of the problems and innovations whichhave led to its current organization and structure.The philosophical foundations of the NHS are then articulated and defended on the grounds that it stillrepresents a morally coherent and economicallyefficient approach to the delivery of health care.Scarce resources are the key problem facing the NHS,making rationing inevitable and it is shown thatthis is not incompatible with the moral foundations ofthe service. However, there can be little doubt thatthe NHS is now becoming dangerously under-funded. Thepaper concludes with arguments about why this is soand what might be done about it.

The History of the NHS

The aim of this essay is to show an understanding of political and social context underlining the foundation, running and evolution of the NHS. It looks at changes from political perspective that had a great influence on the structure and function of the organisation. It also considers changing demands from public placed upon it over the last sixty years. Furthermore, it seeks to analyse the economics of NHS funding. Last, it examines the effects of NHS on the public healthas well as a shift in the nature of public demand. Few people would argue that a free access to healthcare in the UK is taken for granted today with a limited number of exclusions at a point of entry. This has not always been the case, however. The whole range of political and social changes on a grand scale took place in the 19 th and 20 th century prior to foundation of NHS by Labour Health Secretary Aneurin Bevan on the 5 th July 1948.

A creature of its time: the critical history of the creation of the British NHS

2011

The British National Health Service was formed in 1948, and has since been internationally admired and emulated. This paper seeks to understand the circumstances of its creation: why it could only have happened in this brief window of opportunity at the end of the Second World War. It argues that the structural weaknesses and chronic under-financing in its first few years have been difficult to rectify, but that the British love affair with the concept of a universal free healthcare service has prevented, until now, any serious erosion of its function. It suggests that closer examination of the historical context of the NHS, especially the negotiations that created it, and the concept of policy ’path dependency’ can help to understand its current crisis.

Liberating the NHS: Orders of Change?

About HSMC HSMC has been one of the leading UK centres for research, personal and organisational development in health care for nearly 40 years. Commissioning of healthcare and provision of healthcare outside hospitals have become specific areas of expertise in recent years, underpinned by a continuing commitment to issues of quality improvement and public and patient engagement. This reputation has also extended to adult social care, with a growing track record in inter-agency commissioning and provision of health and social care services. HSMC has also developed a national reputation for both organisational and leadership development across all health settings. For further information visit: www.hsmc.bham.ac.uk

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